Individual
DR. BRADLEY CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1020 LEE ANN DR NE, CONCORD, NC 28025-2911
(704) 795-1055
(704) 795-6743
Mailing address
1020 LEE ANN DR NE, CONCORD, NC 28025-2911
(704) 795-1055
(704) 795-6743
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10420
NC
122300000X
Dentist
9612
KY
Other
Enumeration date
06/23/2015
Last updated
08/13/2016
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